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  • 01-01-2016

    Leads for potentializing groups in Primary Health Care

    Revista Brasileira de Enfermagem. 2016;69(5):964-971
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    Abstract

    Leads for potentializing groups in Primary Health Care

    Revista Brasileira de Enfermagem. 2016;69(5):964-971

    DOI 10.1590/0034-7167-2015-0102

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    ABSTRACT

    Objective:

    to analyze the aspects that potentialize groups in Primary Health Care according to their coordinators and participants.

    Method:

    This is a descriptive study with a qualitative approach, conducted with a health promotion group affiliated with a Family Health Unit. The data were collected by means of focus groups with participants and community workers who were submitted to thematic content analysis.

    Results:

    the analysis gave rise to three thematic categories: The group is our medicine; Healthy living and learning; and Priceless leadership.

    Conclusion:

    the leads identified during the study were as follows: group organization involves investment in motivation and leadership by the coordinators; production of grouping and cohesion is a result of participants and coordinators meeting together, interspersed with dialog, things said and left unsaid that the subjects expressed in the group dynamic; the sense of belonging guarantees their placement in the group based on the recognition of their knowledge and affective, social and health needs.

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    Leads for potentializing groups in Primary Health Care
  • 01-01-2016

    The path to crack addiction: perceptions of people under treatment

    Revista Brasileira de Enfermagem. 2016;69(5):956-963
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    Abstract

    The path to crack addiction: perceptions of people under treatment

    Revista Brasileira de Enfermagem. 2016;69(5):956-963

    DOI 10.1590/0034-7167-2016-0045

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    ABSTRACT

    Objective:

    the objective of this study was to understand the meaning of the harmful use of crack by people undergoing addiction treatment.

    Method:

    qualitative approach of social research on strategic modality was used. Field observation, preparation of field diary and focus groups, and data analysis through the method of interpreting meaning were carried out.

    Results:

    the results contributed to the construction of three thematic categories: “The discovery of crack and other drugs” that describes the experimentation with crack and other drugs; “The pain of the pleasure”, key category that describes the moments after crack experimentation and that, many times, turns into addiction, which leads the person into a cycle of short periods of attempts at abstinence, relapse, and relentless consumption; and “Return to normal life”.

    Conclusion:

    treating people with crack addiction must be carried out in ways that narrow the distance between these people and their families, society and health care.

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  • 01-01-2016

    Intimate partner violence in adolescence: an analysis of gender and generation

    Revista Brasileira de Enfermagem. 2016;69(5):946-955
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    Abstract

    Intimate partner violence in adolescence: an analysis of gender and generation

    Revista Brasileira de Enfermagem. 2016;69(5):946-955

    DOI 10.1590/0034-7167-2016-0408

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    ABSTRACT

    Objective:

    to analyze the intimate partner violence in adolescence from the perspective of gender and generation.

    Method:

    Quantitative, descriptive, and exploratory research. 111 adolescents participated in this study, with ages from 15 to 19 years old.

    Results:

    We found that 91% of participants have perpetrated and 90.1% have undergone at least one of the natures of violence. The intimate partner violence in adolescence constitutes a form of gender violence, and gender constructions have determined the suffered and perpetrated aggressions, possibly also determining the naturalization and legitimization of such aggressions. The inequality of power between generations may determine greater vulnerability of youngsters to the phenomenon.

    Conclusion:

    The historical and social construction of masculinity and femininity and the power inequalities set by these constructions converge with the power inequality between generations. Thus, gender and generation are determinants of intimate partner violence in adolescence, as well as of the vulnerability of adolescents to this phenomenon.

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  • 01-01-2016

    Hospitalization anxiety in children: conceptual analysis

    Revista Brasileira de Enfermagem. 2016;69(5):940-945
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    Abstract

    Hospitalization anxiety in children: conceptual analysis

    Revista Brasileira de Enfermagem. 2016;69(5):940-945

    DOI 10.1590/0034-7167-2015-0116

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    ABSTRACT

    Objective:

    to analyze the concept “hospitalization anxiety in children”, identifying its antecedents, attributes, and consequences, with the objective of clarifying its meaning.

    Method:

    we used a conceptual analysis model, whose objective is to clarify the meaning of terms.

    Results:

    we identified the concept antecedents and its attributes, classified as biological and psychological needs, which are essential characteristics of “hospitalization anxiety in children”. This process consequences have also been identified. We proceeded to the analysis of the characteristics with emphasis on the impacts of the hospitalization process on the child and on the family.

    Conclusion:

    based on the conceptual analysis of the phenomenon, it was possible to identify the antecedents, attributes, and consequences of Hospitalization Anxiety in children. We recommend the continuation of the study validating the essential characteristics presently identified as a way to join knowledge gathered and professional practice.

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    Hospitalization anxiety in children: conceptual analysis
  • 01-01-2016

    Stroke: patient characteristics and quality of life of caregivers

    Revista Brasileira de Enfermagem. 2016;69(5):933-939
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    Abstract

    Stroke: patient characteristics and quality of life of caregivers

    Revista Brasileira de Enfermagem. 2016;69(5):933-939

    DOI 10.1590/0034-7167-2015-0064

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    ABSTRACT

    Objective:

    to investigate the association between the domains of health-related quality of life of family caregivers and sociodemographic characteristics of individuals with stroke sequelae.

    Method:

    descriptive, cross-sectional, quantitative research, conducted with 136 family caregivers of individuals with stroke sequelae by means of home interviews from April to June 2013.

    Results:

    we found that caregivers of individuals aged under 65 years, married, with 10 to 12 years of formal education, presented higher scores, respectively, in the domains ‘Social aspects’, ‘Emotional aspects’, and ‘Mental health’. However, caregivers of patients with higher degree of disability obtained lower score in the ‘Mental Health’ domain.

    Conclusion:

    the results foster reflection on the need of including the family caregivers of individuals with stroke sequelae in the planning of care provided by health professionals.

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  • 01-01-2016

    A quasi-experimental nursing study on pain in comatose patients

    Revista Brasileira de Enfermagem. 2016;69(5):927-932
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    Abstract

    A quasi-experimental nursing study on pain in comatose patients

    Revista Brasileira de Enfermagem. 2016;69(5):927-932

    DOI 10.1590/0034-7167-2015-0121

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    ABSTRACT

    Objective:

    to verify whether comatose patients feel pain during the bed bath nursing procedure.

    Method:

    nineteen patients aged 61 ± 17.39 years participated in the study. A quantitative analysis was conducted on the P substance (PS) in the saliva collected before and during a bed bath, using the ELISA method. Program Graph Pad Prisma 6 was used to analyze the data. The verification of normality was made through the Shapiro Wilk test, which determined the choice for the Wilcoxon nonparametric test.

    Results:

    the study showed a statistically significant increase (∆= 5.62%, p<0.001) in the PS level of the patients studied during the nursing procedure.

    Conclusion:

    when caring for comatose patients during a bed bath, professionals cause or add painful stimuli; therefore, they feel pain.

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    A quasi-experimental nursing study on pain in comatose patients
  • 01-01-2016

    Quality of nursing care: instrument development and validation

    Revista Brasileira de Enfermagem. 2016;69(5):920-926
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    Abstract

    Quality of nursing care: instrument development and validation

    Revista Brasileira de Enfermagem. 2016;69(5):920-926

    DOI 10.1590/0034-7167-2015-0151

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    ABSTRACT

    Objectives:

    to describe the development and validation process of a scale to measure the nurses’ perception of the activities that contribute to nursing care quality.

    Method:

    methodological study based on a literature review, the opinion of experts and the experience of study investigators. An instrument was designed containing six dimensions and 25 items, applied as a questionnaire to 775 nurses from a hospital in northern Portugal, from May to July 2014. The instrument validation used an exploratory factor analysis and an internal consistency assessment of each factor/dimension.

    Results:

    the factor analysis indicated the need to adjust the original composition of the scale, which then received one more dimension, totaling seven dimensions and the same 25 items, and presented a high internal consistency (Cronbach’s alpha of 0.940).

    Conclusion:

    the final version of the scale presents adequate psychometric properties, with potential use in future studies.

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  • 01-01-2016

    Network and social support in family care of children with diabetes

    Revista Brasileira de Enfermagem. 2016;69(5):912-919
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    Abstract

    Network and social support in family care of children with diabetes

    Revista Brasileira de Enfermagem. 2016;69(5):912-919

    DOI 10.1590/0034-7167-2015-0085

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    ABSTRACT

    Objective:

    to understand the influence of network and social support in the care of a child with type 1 diabetes.

    Method:

    qualitative study, with assumptions of ethnonursing, conducted in a reference service specialized in the treatment of diabetes, in 2014, in the city of Fortaleza, state of Ceará, Brazil. Twenty-six members of the family and their respective school children participated in the study. The process of collection and analysis followed the observation-participation-reflection model.

    Results:

    the analytical categories showed that the social network in the care of children with diabetes helped sharing of information and experiences, moments of relaxation and aid in the acquisition of supplies for treatment, with positive repercussions in the family context, generating well-being and confidence in the care of children with diabetes.

    Conclusion:

    the cultural care provided by nurses strengthens the network and social support because it encourages autonomy in the promotion of the quality of life of children with type 1 diabetes and their families.

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  • 01-01-2015

    Factors associated with immunization against Hepatitis B among workers of the Family Health Strategy Program

    Revista Brasileira de Enfermagem. 2015;68(1):84-92
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    Abstract

    Factors associated with immunization against Hepatitis B among workers of the Family Health Strategy Program

    Revista Brasileira de Enfermagem. 2015;68(1):84-92

    DOI 10.1590/0034-7167.2015680112p

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    Objective:

    to investigate the report of vaccination against Hepatitis B, verification of immunization and the factors associated with dosages of anti-HBs.

    Method:

    we collected blood samples from those reported that they had one or more doses of the vaccine. We evaluated the association of the dosage of anti- HBs with sociodemographic conditions, occupational and behavioral. The associations were verified by Mann Whitney and Kruskal Wallis and correlation Spermann by linear regression using SPSS® 17.0.

    Results:

    among the 761 respondents, 504 (66.1%) were vaccinated, 52.5 % received three doses, 30.4 % verified immunization. Of the 397 evaluated for the determination of anti-Hbs, 16.4% were immune.

    Conclusion:

    it was found that longer duration of work was associated with higher levels of anti-HBs, while levels of smoking were inversely associated with anti-HBs. These workers need for vaccination campaigns.

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  • 01-01-2015

    The decreasing number of cigarettes during psychiatric hospitalization: intervention or punishment?

    Revista Brasileira de Enfermagem. 2015;68(1):76-83
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    Abstract

    The decreasing number of cigarettes during psychiatric hospitalization: intervention or punishment?

    Revista Brasileira de Enfermagem. 2015;68(1):76-83

    DOI 10.1590/0034-7167.2015680111p

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    Objective:

    To identify the mental disorders carriers’ perception, the smokers ones, about the decreasing number of cigarettes during psychiatric hospitalization.

    Method:

    Exploratory study with 96 hospitalized carriers of mental disorders who are smokers: G1 (34 subjects hospitalized when was allowed one cigarette by hour) and G2 (62 subjects hospitalized when it was reduced to eight cigarette by day). Semi-structured questionnaire. Thematic content analysis.

    Results:

    The G1 admitted satisfaction with the restriction – smoking during hospitalization as entitlement. The G2 resists the restriction change occurred without dialogue or support. In spite of the difficulties, some attitude changes about the cigarette were noticed such as increase of the responsibility, discovery of the ability to reduce smoking and the meaning of its role.

    Conclusion:

    Some subjects understand the smoking health policy change as punishment, while others as opportunity to think about the role of cigarette in their life.

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  • 01-01-2015

    Family functionality in oldest old household residents

    Revista Brasileira de Enfermagem. 2015;68(1):68-75
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    Abstract

    Family functionality in oldest old household residents

    Revista Brasileira de Enfermagem. 2015;68(1):68-75

    DOI 10.1590/0034-7167.2015680110p

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    Objective:

    the aim of this study was to identify factors associated with family functionality of non-institutionalized long-lived subjects, who were residents in Goiânia (GO), Brazil.

    Method:

    this was a population-based epidemiological study with cross-sectional outline. Evaluation scales of the functional and cognitive capacities were used. Family dynamics was measured using the Adaptation, Partnership, Growth, Affection, and Resolve (APGAR) instrument by making home interviews with 131 long-lived individuals.

    Results:

    there was prevalence of the female gender, average of age of 83.87 years old, widowhood condition, and residence in a big family, primary schooling, and self-perception of regular health. A great amount showed independence for self-care and partial dependence for daily life instrumental activities. Family functionality prevailed with score average of 9.06 points.

    Conclusion:

    in conclusion, family functionality in long-lived subjects is associated with self-perception of poor/bad health, osteoporosis, and fall. Results allowed characterizing long-lived subjects’ family functionality with the aim of valuing and prioritizing family as a caregiver.

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    Family functionality in oldest old household residents
  • 01-01-2015

    Prevalence of non-adherence to antihypertensive pharmacotherapy and associated factors

    Revista Brasileira de Enfermagem. 2015;68(1):60-67
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    Abstract

    Prevalence of non-adherence to antihypertensive pharmacotherapy and associated factors

    Revista Brasileira de Enfermagem. 2015;68(1):60-67

    DOI 10.1590/0034-7167.2015680109i

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    Objective:

    the aim of the study was to determine the prevalence of non-adherence to antihypertensive drug treatment and its association with factors bio-socio-economic and welfare.

    Method:

    it was a descriptive, cross-sectional study, performed with 422 hypertensive individuals. Data were collected through home interviews, conducted between December 2011 and March 2012.

    Results:

    the results showed that the respondents were mostly female, married, elderly, low income and little time of diagnosis. Were considered non adherent to medication 42.65% of participants. Non-Caucasian hypertensive patients, with fewer than eight years of schooling, who did not regularly attend doctor’s appointments, took more than two anti-hypertensive medications and did not have private health insurance, showed higher likelihood of not complying with the drug treatment.

    Conclusion:

    these findings suggest that hypertensive patients with unfavorable socioeconomic characteristics and difficulty of access to the service require different interventions in order to encourage them to adhere to medication treatment.

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  • 01-01-2015

    Adherence and knowledge about the use of personal protective equipment among manicurists

    Revista Brasileira de Enfermagem. 2015;68(1):52-59
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    Abstract

    Adherence and knowledge about the use of personal protective equipment among manicurists

    Revista Brasileira de Enfermagem. 2015;68(1):52-59

    DOI 10.1590/0034-7167.2015680108i

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    Objective:

    this study aimed to assess adherence and knowledge of manicures/pedicures on the use of Personal Protective Equipment (PPE).

    Methods:

    it was a survey with 235 manicures/pedicures in salons, Belo Horizonte/Brazil. Data were analyzed with the software Statistical package for the social sciences (17.0), using descriptive statistics, chi-square and logistic regression.

    Results:

    the adherence and the knowledge of the professional were evaluated using the median of the results, obtaining 52% and 63% respectively. The professionals younger than 31 were more likely (2.54 times) to adhere to PPE and those who claimed to have done biosafety course and to use uniform during work, had better chance of understanding (2.86 and 3.12 times, respectively). The majority (83.4 %) stated that the use of PPE should occur for all procedures, meanwhile 71.5 % cited not use them.

    Conclusions:

    the results indicate the poor adherence to PPE, strengthen occupational biological risk and need for training of these professionals.

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  • 01-01-2015

    Predictive value of the Manchester Triage System: evaluation of patients’ clinical outcomes

    Revista Brasileira de Enfermagem. 2015;68(1):45-51
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    Abstract

    Predictive value of the Manchester Triage System: evaluation of patients’ clinical outcomes

    Revista Brasileira de Enfermagem. 2015;68(1):45-51

    DOI 10.1590/0034-7167.2015680107i

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    Objective:

    to analyze the predictive value of the Manchester Triage System in relation to clinical outcome of patients.

    Methods:

    prospective observational study of 577 patients admitted to the ER and subjected to risk classification. The Therapeutic Intervention Scoring System-28 (TISS-28) was used to measure the severity of patients (primary outcome) and secondary outcomes: high / transfer, death, and length of hospital stay. Descriptive and univariate analyzes were conducted.

    Results:

    patients classified as red are 10.7 times more likely to have scores above 14 in TISS-28 in relation to others. Patients classified as red have 5.9 times more chance of progression to death compared to others. Patients of high priority service are 1.5 times more likely to be hospitalized over five days than low priority.

    Conclusions:

    STM proved a good predictor of clinical outcomes.

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  • 01-01-2015

    Entrepreneurship in Nursing: overview of companies in the State of São Paulo

    Revista Brasileira de Enfermagem. 2015;68(1):40-44
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    Abstract

    Entrepreneurship in Nursing: overview of companies in the State of São Paulo

    Revista Brasileira de Enfermagem. 2015;68(1):40-44

    DOI 10.1590/0034-7167.2015680106i

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    Objective:

    the present study aimed to identify and characterize nursing companies managed by entrepreneur nurses registered at the Commercial Registry of São Paulo by 2011.

    Method:

    it’s a descriptive, exploratory study, whose data collection, made throughout January 2012, was carried out on the Commercial Registry of Sao Paulo website. This non-governmental body has the function of registering the opening of companies and supervising their trade situation.

    Results and conclusion:

    this study allowed us to identify that the entrepreneur nurse is a growing reality through the identification of 196 companies opened by these professionals. Afterwards, it was analyzed their time of functioning, the main economic activity of the company, capital value, percentage of nurse partners and the distribution of companies by region of Sao Paulo State.

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    Entrepreneurship in Nursing: overview of companies in the State of São Paulo
  • 01-01-2015

    Knowing blood donation surroundings: Implications for nurse service in hemotherapy

    Revista Brasileira de Enfermagem. 2015;68(1):32-39
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    Abstract

    Knowing blood donation surroundings: Implications for nurse service in hemotherapy

    Revista Brasileira de Enfermagem. 2015;68(1):32-39

    DOI 10.1590/0034-7167.2015680105i

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    Objective:

    the study aims at discussing the significations apprehended by the non-blood donators, considering the context and the consequences of the acting of the nurse in hemotherapy.

    Method:

    it is a qualitative approach, with theoretical frame of Symbolic Interactionism and Grounded Theory method. The data production was carried out by intensive interview with subjects of three sample groups of a University Hospital of Rio de Janeiro City.

    Results:

    the phenomenon originated two analysis categories: “Perceiving the blood matter” and “Reflecting about the blood donation campaigns”. It was observed that the environment of the donor is not composed by contact with the other and the information that it can achieve, including the media.

    Conclusion:

    these were the main basis for the knowledge of blood donation according to their beliefs, culture and values. Therefore, all these aspects must be considered by the nurse acting on donors capture.

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    Knowing blood donation surroundings: Implications for nurse service in hemotherapy

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